Psychiatrist III (Forensic Evaluator-Psychiatrist)

Texas Health & Human Services Commission

Are you ready to be professionally challenged? Are you looking to be part of a

dynamic team of engaged and committed professionals? Looking to work from

anywhere in Texas? Then the Health and Specialty Care System (HSCS) may be just

the place for you! The State Hospital System, under the HSCS is comprised of nine

psychiatric hospitals located throughout the state and one youth residential psychiatric

center in Waco. The HSCS is a hub of excellence for forensic mental health and

complex psychiatric care, with all facilities accredited by The Joint Commission. The

hospitals provide state-of-the-art treatment that is recovery-oriented and evidence-

based. Whether in a direct-care or support role, your contribution will make a

difference in the life of a Texan. Apply now to join our team.

The Psychiatrist III or Forensic Evaluator (Psychiatrist) performs highly advanced

(senior-level) psychiatric assessment work and reports directly to the Central

Administration’s Chief of Forensic Medicine. Work involves the completion of trial

competency assessments of patients in the state hospital system and, as court-

ordered, of defendants under the custody/purview of outside behavioral health/justice

partners, including county jails, county courts, and local mental health authorities

(LMHAs). These include adult patients committed as incompetent to stand trial (IST)

as well as adolescent patients committed as unfit to proceed. These patients present

with serious mental illness, co-occurring disorders (substance abuse and/or

intellectual disabilities) and may also have significant non-psychiatric medical

diagnoses.

Together with the Chief of Forensic Medicine and the Director of Competency

Evaluation Services, the Forensic Evaluator (Psychiatrist) consults on intervention

planning for difficult cases, conducts forensic competency assessments and

evaluations as necessary to supplement state hospital providers, provides court

testimony as necessary, and may provide outside clinical forensic consultation to

partner organizations.

The Forensic Evaluator (Psychiatrist) participates in committees of the State Hospital

Governing Body and performance improvement activities, including the

Forensic Services Subcommittee (FSC). Attends weekly/monthly meetings and

participates in discussions to inform and create buy-in to necessary changes and

follows through on the implementation plans as approved by the FSC. Participates in

or directs, as requested, any other clinically and/or forensically related committee that

is formed for the State Hospitals to recommend guidelines and standards of care in

response to changes in research literature, regulatory environment, or public health as

requested by the State Hospitals Central Administration’s Chief of Forensic Medicine.

Plans, assigns, and guides the work of others in the process of the multi-disciplinary

approach to patient assessment and care. May supervise others depending upon the

structure of the Forensic Medicine team. Works under minimal supervision, with

extensive latitude for the use of initiative and independent judgment.

Performs other duties as assigned. Other duties as assigned include, but are not

limited to, actively participating and/or serving in a supporting role to meet the

agency’s obligations for disaster response and/or recovery or Continuity of Operations

(COOP) activation. Such participation may require an alternate shift pattern

assignment and/or location.

Essential Job Functions:

Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift, and/or overtime in accordance with agency leave policy and performs other duties as assigned. Serves on-call in a rotating schedule as needed to respond to emergencies.

Utilizes a multi-disciplinary approach to complete psychiatric assessments of individuals, including trial competency assessments, following the State Hospital System policies and procedures.

Attends and participates in meetings and serves as an ex-officio member of the State Hospital System Governing Body Forensic Services Subcommittee and other meetings and committees as requested.

Provides subject matter expertise and analysis on complex laws, processes, and policies related to the forensic commitment process to the state hospitals (i.e., Code of Criminal Procedures, Texas Health and Safety Code and Mental Health Code, and Family Code).

Provides direction, consultation, and training to other forensic clinicians at the state hospitals to ensure that trial competency evaluations and reports prepared for submission to courts by state hospital system forensic clinicians meet statutory requirements and state hospital operating procedure guidelines.

Assists in the design and implementation of special treatment programs for forensic populations across the state hospital system as appropriate, including the delivery of competency restoration programming.

Performs evaluations by direct face-to-face contact or telemedicine.

Conducts forensic competency assessments and evaluations as necessary to supplement state hospital providers.

Provides court testimony as necessary.

Reads and analyzes medical records, actively participates in team meetings, participates in conference calls concerning clinical and/or forensic psychiatric issues, and interacts with and makes recommendations to outside stakeholders, including courts, attorneys, county jails, and LMHAs/LBHAs.

Provides expert psychiatry consultation on difficult forensic-related cases with state hospital staff and outside stakeholders.

Maintains open and regular communication with the Chief of Forensic Medicine and the Director of Competency Evaluation Services via electronic mail, secured instant messaging, secured videoconferencing, and telephone calls.

Participates in mandatory training per HHSC policies and procedures, HIPAA policies, state and federal rules and regulations, and TJC standards and CMS conditions of participations to provide quality psychiatric services and care to individuals served.

Participates in various internal and external stakeholder work groups, representing the state hospital system.

Provides expert consultation and training to outside entities on forensic services, best practices in competency evaluations, and other areas as requested.

May manage other staff providing regular feedback, conducting performance evaluations, and taking corrective action when needed, depending upon the organizational structure of the Forensic Medicine team.

Performs other duties as assigned. Other duties as assigned include, but are not limited to, actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge Skills Abilities:

Knowledge of complex laws and processes related to civil and forensic commitments and Texas laws related to persons served (i.e., Texas Code of Criminal Procedures, Texas Health and Safety Code and Mental Health Code, and Texas Family Code) to determine and implement actions to assist in hospital admission issues

Advanced knowledge of methods and procedures in the field of general medicine, general psychiatry, and forensic psychiatry

Advanced knowledge of principles of the development, implementation, and documentation of forensic assessments, evaluations, and individualized care and treatment plans

Advanced knowledge of the principles of psychiatric treatment and ability to work collaboratively with staff

Advanced knowledge of the use of psychotropic medication and the systemic effects of psychotropic medication

Advanced skills in operating computers and effectively using an electronic healthcare record, telehealth equipment, desktop computer, and Microsoft Office software

Advanced skills in the use of medical and psychiatric diagnostic and treatment tools and equipment

Advanced skills in conducting psychiatric research when necessary

Ability to assess, diagnoses, and prescribe/supervise treatment to assigned patients while conforming to local policy, Texas Administrative Code, and applicable laws to decrease psychiatric symptoms/disorders

Ability to examine, diagnose, and treat mental disorders

Ability to interpret psychological diagnoses and analyses

Ability to develop and evaluate policies and procedures related to the forensic continuity of care

Ability to exercise independent judgment in assessing the urgency of situations/complex issues and developing actions needed for resolution, including the development of options for leadership to consider

Ability to effectively plan, prioritize, and organize areas of responsibility

Ability to work independently using good judgement and advanced time management skills

Ability to participate in annual training as well as any other required specific training in order to assure up to date skills and knowledge in required areas

Ability to organize and present information effectively, both orally and in writing Registration or Licensure Requirements:

Must be licensed as a medical doctor by the State of Texas

Must be board certified in Psychiatry and maintain certification through tenure in the position

Must be board certified or board eligible in Forensic Psychiatry or become board certified within 2 years of hire Initial Selection Criteria:

Graduation from an accredited school of medicine with a degree as a medical doctor (M.D or D.O); residency in general psychiatry field; and forensic psychiatry fellowship

At least three (3) years’ experience working as a psychiatrist is preferred

Additional Information:

Requisition #542916

Salary Note: The salary offered will follow HHS HR Policy starting salary guidelines which are typically made at or near the minimum of the salary range. For internal applicants, there can be limitations in consideration of applicant’s current classification and salary and is dependent upon available budget. Note: For program areas that have an approved market rate, the starting salary is considered the minimum of the market rate.

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, and HHS OIG list of Excluded Individuals/Entities. Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine-preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. MOS Code:

60U, 60W, 210X, 92, MED10, 44PX

Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS

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In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

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